# BLUE OVAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942669304
- **Authorized official:** MR. PRASAD VAMAN SARAPH (CEO)
- **Authorized official phone:** (832) 880-2698

## Contact information

- **Practice address:** 435 NICHOLS RD, SUITE 200, KANSAS CITY, MO 64112-2036
- **Practice address phone:** (844) 521-2345
- **Practice address fax:** (844) 521-2345
- **Mailing address:** 435 NICHOLS RD, SUITE 200, KANSAS CITY, MO 64112-2036
- **Mailing address phone:** (844) 521-2345
- **Mailing address fax:** (844) 521-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/14/2016
- **Last updated:** 02/14/2016
